CBT has strong research support for a wide range of mental health concerns, such as depression, anxiety, and obsessive-compulsive disorder. CBT focuses on identifying and changing unhelpful thoughts, feelings, and actions to develop more adaptive ways of thinking and behaving.

Exposure is a key technique I use within CBT that helps people gradually face anxiety-provoking situations, thoughts, or sensations they have been avoiding. For instance, we may work to engage in behaviors that help us face situations that make us fearful. By facing these situations a safe, collaborative, and structured way, this helps our brain and body learn that these situations are not as dangerous as they feel.

I received training in DBT from its treatment developer, Dr. Marsha Linehan, at the Behavioral Research and Therapy Clinic at the University of Washington.

DBT is a behavioral treatment designed for those having difficulty managing high-intensity emotions. It has strong research support for adolescents and adults with suicidal and/or self-harm behaviors, addiction, and eating disorders. I incorporate DBT principles, strategies, and skills throughout my individual practice. I am happy to refer those seeking comprehensive services (e.g., skills groups, phone coaching, and therapist consultation) to colleagues in the Seattle area who provide such resources.

ACT is a mindfulness-based behavioral therapy that helps clients be present in the moment, increase openness to their inner experiences, and take committed actions aligned with their self-defined values. In my practice, I use ACT to support clients in identifying and “unhooking” from thoughts and feelings causing emotional distress, learning to relate to those experiences with greater flexibility, and taking committed actions toward building meaning and fulfillment.